California Code of Regulations
Title 16 - Professional and Vocational Regulations
Division 14 - Board of Registered Nursing
Article 6 - Nurse-Midwives
Section 1462 - Standards for Nurse-Midwifery Programs
Universal Citation: 16 CA Code of Regs 1462
Current through Register 2024 Notice Reg. No. 12, March 22, 2024
(a) Program of study. The program of study preparing a nurse-midwife shall:
(1) Have as
its primary purpose the preparation of nurse-midwives;
(2) Have its philosophy clearly defined and
available in written form;
(3) Have
its objectives, reflective of the philosophy, stated in behavioral terms, which
describe the theoretical knowledge base and clinical competencies expected of
the graduates.
(b) Curriculum.
(1) The curriculum shall be no
less than twelve(12) months in length, and shall be specifically designed to
provide a knowledge and skills base necessary for nurse-midwifery management of
women and neonates. Such content shall include, but not be limited to, the
following:
(A) Anatomy; physiology; genetics;
obstetrics and gynecology; embryology and fetal development; neonatology; child
growth and development; pharmacology; nutrition; laboratory and diagnostic
tests and procedures; and physical assessment.
(B) Concepts in psycho-social, emotional, and
cultural aspects of maternal/child care; human sexuality; counseling and
teaching; maternal/infant/family bonding process; breast feeding; family
planning; principles of preventive health; and community health.
(C) All aspects of the management of normal
pregnancy, labor and delivery, postpartum period, newborn care, family planning
and/or routine gynecological care in alternative birth centers, homes and
hospitals.
(2) The
program shall provide concurrent theory and clinical practice in a setting in
the United States.
(3) The program
shall include the nurse-midwifery management process which includes the
following steps:
(A) Obtains or updates a
defined and relevant data base for assessment of the health status of the
client.
(B) Identifies
problems/diagnosis based upon correct interpretation of the data
base.
(C) Prepares a defined
needs/problem list with corroboration from the client.
(D) Consults and collaborates with and refers
to, appropriate members of the health care team.
(E) Provides information to enable clients to
make appropriate decisions and to assume appropriate responsibility for their
own health.
(F) Assumes direct
responsibility for the development of comprehensive, supportive care for the
client and with the client.
(G)
Assumes direct responsibility for implementing the plan of care.
(H) Initiates appropriate measures for
obstetrical and neonatal emergencies.
(I) Evaluates, with corroboration from the
client, the achievement of health care goals and modifies plan of care
appropriately.
(4) The
program shall prepare the nurse-midwife to practice as follows:
(A) Management of the normal
pregnancy.
(B) Management of normal
labor and delivery in all birth settings, including the following when
indicated:
1. Administration of intravenous
fluids, analgesics, and postpartum oxytocics.
2. Amniotome during labor.
3. Application of external or internal
monitoring devices.
4.
Administration of local anesthesia: paracervical blocks, pudendal blocks, and
local infiltration.
5.
Episiotomy.
6. Repair of
episiotomies and lacerations.
7.
Resuscitation of the newborn.
(C) Management of the normal postpartum
period.
(D) Management of the
normal newborn care.
(E) Management
of family planning and/or routine gynecological care including: fitting vaginal
diaphragms, insertion of intrauterine devices, selection of contraceptive
agents from approved formulary.
(c) Faculty. Faculty of the nurse-midwifery educational program shall comply with the following requirements:
(1) Faculty shall include one or more
nurse-midwives and one or more physicians with current training and practice in
obstetrics.
(2) Faculty teaching in
the program shall be current in knowledge and practice in the specialty being
taught.
(3) Nurse-midwives,
clinical instructors, and physicians who participate in teaching, supervising
and evaluating students shall show evidence of current
practice.
1. New section
filed 4-6-79; effective thirtieth day thereafter (Register 79, No.
14).
2. Amendment filed 12-4-85; effective thirtieth day thereafter
(Register 85, No. 49).
Note: Authority cited: Section 2715, Business and Professions Code. Reference: Sections 2746, 2746.2 and 2746.5, Business and Professions Code.
Disclaimer: These regulations may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
